MR. JASON L OTTO (MPAS) – Medical Physician Assistant, NPI 1558697177
Medical Physician Assistant
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
325 PHYSICIAN ASSISTANT in WY
Provider Addresses for MR. JASON L OTTO (MPAS)
61 S GOULD ST
SHERIDAN, WY 828016304
Phone: (307) 675-2650
Fax: (307) 675-2651
Type: Location
110, West 5th Street, Sheridan, Sheridan County, Wyoming, 82801, United States
SHERIDAN, WY 828012705
Phone: (307) 675-2650
Fax: (307) 675-2651
Type: Mailing
112, West 5th Street, Sheridan, Sheridan County, Wyoming, 82801, United States
SHERIDAN, WY 828012752
Phone: (307) 675-2650
Fax: (307) 675-2651
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $265.
Total Amount is formed as General ($265) + Research ($0) + Ownership ($0) = $265.
Last reported payment date: 2024-10-02 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($97).
Total Amount
$265
General + Research + Ownership
Payments
15
Total payment records
General Amount
$265
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-02
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-01-18
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100118000084 | I | Physician Assistant | WY | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 558 | 307 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 455 | 330 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 221 | 221 | $0 |
| G0008 | Administration of influenza virus vaccine | 87 | 86 | $0 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 77 | 76 | $0 |
Insurance plans in this area (ZIP 82801)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | AZ | |
| - | WY | |
| Internal Medicine | WY | |
| Diagnostic Radiology | IA | |
| Nurse Practitioner | MT | |
| Interventional Radiology, Diagnostic Radiology, Diagnostic Radiology, Interventional Radiology | IA | |
| Internal Medicine | WY | |
| Diagnostic Radiology | IA | |
| Emergency Medicine | WY | |
| Family Practice | MT |
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